Drug allergy in hospitalized perioperative patients: the contribution of a structured questionnaire for accurate diagnosis.
Immunotherapy
; 5(8): 837-41, 2013 Aug.
Article
en En
| MEDLINE
| ID: mdl-23902553
AIMS: History of drug allergy is a major cause for deviation from standard of care, as well as prescribing expensive medications. We aimed to evaluate drug allergy-related history taking by surgery interns and compare it with history taking by an allergist and an anesthetist using a simple, structured questionnaire. METHODS: Patients with a declared drug allergy were prospectively recruited from surgical wards. The interns' drug allergy diagnosis was compared with that of the allergy specialist and anesthetist that used a structured questionnaire. RESULTS: A total of 195 patients with 305 reports of drug allergy were included; 52% of the reactions labeled by the surgical interns as allergic were tagged as not allergic by the anesthetist assisted by the questionnaire. The allergist found that 51% of these reactions represented either side effects or were nonrelated to the culprit drug. CONCLUSION: Inconsistency between drug allergy diagnosis of surgery interns and anesthetists and allergists are common. The use of a simple structured questionnaire by the ward physicians may be accessible and beneficial for more precise diagnosis of drug allergies.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cirugía General
/
Errores Diagnósticos
/
Hipersensibilidad a las Drogas
/
Alergia e Inmunología
/
Anestesiología
Tipo de estudio:
Clinical_trials
/
Diagnostic_studies
/
Observational_studies
/
Qualitative_research
/
Risk_factors_studies
Límite:
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
País/Región como asunto:
Asia
Idioma:
En
Revista:
Immunotherapy
Asunto de la revista:
ALERGIA E IMUNOLOGIA
/
TERAPEUTICA
Año:
2013
Tipo del documento:
Article
País de afiliación:
Israel
Pais de publicación:
Reino Unido